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Healthstyles December 18: Global Nurse Leaders & Innovators

Healthstyles on Thursday, December 18th is hosted by Barbara Glickstein and features interviews with two global nurse leaders innovating with new technologies that are having an impact in managing conditions, saving lives and reducing the health care costs.  Read more about them and listen to the interviews.

Sueellen MillerSuellen Miller,PhD, RN, CNM, MHA is a nurse midwife, researcher and innovator. Dr. Miller is Director of the Safe Motherhood Program at the Bixby Center for Global Reproductive Health, and Professor, Department of Obstetrics, Gynecology and Reproductive Sciences at University of California San Francisco. Hear how she adapted a piece of ambulance equipment to be something useful to women dying of childbirth-related hemorrhage in developing countries. The Lifewrap, is a low-cost, low technology, first-aid device to treat postpartum hemorrhaging saving women’s lives in remote towns and villages globally.

LifeWrap

LifeWrap

“The Non-pneumatic Anti-shock Garment (NASG) is a first-aid device used to stabilize women who are suffering from obstetric hemorrhage and shock. It is made of neoprene and VelcroTM and looks like the lower half of a wetsuit, cut into segments. This simple device helps women survive delays in getting to a hospital and getting the treatment that they need. It can be applied by anyone after a short, simple training. To date, it has been used on over 6000 women in 6 countries.”

You can hear the interview with Dr. Miller here

Increasingly, health care involves technology. Tech companies are venturing into the diagnostics and treatment market. People can use their smart phones to monitor their condition and there are 1000s of apps available for people to choose from to support their health needs.

NYPresbyterian Jane Seley NYT Tribute to Nurses winner NYWC January 12, 2011Jane Jeffrie Seley, DNP, MSN, MPH, BC-ADM, CDE, CDTC, is the inpatient diabetes nurse practitioner in the Division of Endocrinology at NewYork-Presbyterian Hospital/Weill Cornell Medical Center in New York City. She is an adjunct assistant professor in the Hunter-Bellevue School of Nursing’s Doctor of Nursing Practice program and a contributing editor for the American Journal of Nursing “Diabetes Under Control” column. She shares the latest innovations in health technologies for diabetes and how they are changing the lives of people living with this chronic disease. It’s also changing the way health care providers in partnership with their patients are working together to maximize the impact of these new tools.

You can hear the interview with Dr. Seley here

Healthstyles airs every Thursday at 1 PM on WBAI Pacifica Radio 99.5 FM and streamed live at wbai.org. Healthstyles is produced by the Center for Health, Media and Policy.

Healthstyles on December 11: Choosing Wisely and Women’s Economic Development

WBAI

There’s an old saying that “women hold up half the sky”. But around the world, women–and thus their families–are living in poverty with little access to the education that can help them to make a decent living and promote the health of their families. A longstanding international development practice has targeted investments in women’s enterprises, particularly in small businesses and agriculture. These investments have involved partnerships among public, private and philanthropic sectors. But one nurse is advocating that its time to invest in the education and work of female nurses and midwives in low income countries–and that doing so would not only be a wise investment in women’s education and economic development, but could also strengthen local health systems and reduce maternal and infant mortality.

This week’s Healthstyles program opens with producer and co-host Diana Mason, PhD, RN, FAAN, talking this nurse about her new approach to women’s economic development in low resource countries. The nurse is Marla Salmon, ScD, RN, FAAN, Professor of Nursing and Global Public health, and Senior Visiting Fellow at the Evans School of Public Affairs at the University of Washington. She is also a member of the Institute of Medicine where she has worked on developing this idea and building multi-sector support for it. You can listen to the interview here:

The second half of Healthstyles focuses on unnecessary care. The United States spent between $158 billion and $226 billion on overtreatment in 2011. This overtreatment includes unnecessary tests and procedures that can be harmful and costly. For example, pregnant women who deliver in a hospital are often put on continuous electronic monitoring of fetal heart rate ostensibly to ensure that the soon-to-be-born baby is not in distress. But the monitoring means that the laboring woman is unable to move around, which can slow down the labor, and misinterpretation of the monitoring can lead to unnecessary inducement of labor or Caesarean sections that can jeopardize the health and outcomes for both the mother and the infant.

So why do we do these unnecessary tests and procedures and how do we know what is unnecessary? Choosing Wisely is designed to help the public identify which tests and procedures should be questioned if recommended by a provider. On the second half of Healthstyles, Diana Mason discusses the problem of unnecessary care and the Choosing Wisely initiative with Daniel Wolfson, MHSA, Executive Vice President of the ABIM Foundation that developed Choosing Wisely; Karen Cox, RN, PhD, FAAN, Chief Operating Officer of Mercy Children’s Hosptial in Kansas City, MO, and the chair of the American Academy of Nursing’s Task Force for selecting nursing’s list of Choosing Wisely recommendations; and Lisa Woodward, Vice President of Nursing Education at Doctors Hospital at Rennaisance in Edinburg, Texas, and Co-leader of the South Region for the Texas Action Coalition that is involved in promoting the use of the Choosing Wisely list throughout the state.

You can listen to the segment on unnecessary care and Choosing Wisely here:

So tune in for Healthstyles on Thursday, December 11, 2014, on WBAI in New York City at 99.5 FM or online at wbai.org.

Healthstyles is sponsored by the Center for Health, Media & Policy at Hunter College, City University of New York.

 

CHMP welcomes Liz Scherer to the National Advisory Council

_LAJ0100

We welcome Liz Scherer to the Center for Health, Media & Policy’s National Advisory Council.  We look forward to working together with you and the rest of the Council. Below you can read Ms. Scherer’s bio.

Liz Scherer has been providing strategic direction for health and wellness businesses since 1990. Working with North American and European clients, she has engaged with multiple stakeholders in the healthcare arena, including practitioners, educational scientific and medical publishers, digital agencies, pharmaceutical companies and the media.

With health as a framework, Liz has followed an evolutionary career path that not only allowed her to hone her skills in the trenches but also facilitated a thorough understanding of how stakeholders connect, interact and diverge in the healthcare sphere. A pioneer in digital health, Liz has held social media advisory board positions on the Council of Responsible Nutrition – Life Supplemented campaign and on Health Justice-CT, supporting efforts to boost wellness ratios and end racial and socioeconomic health disparities. Additionally, she has worked with farming cooperatives to develop their presence across multiple social media platforms. Her keen interest in the interaction of health and technology  made her an ideal candidate for a Corporate Advisory Board position in 2012 for Cognovant Inc, a mobile health start-up company.

Widely recognized as a woman’s health advocate, Liz was part of the inaugural blogger team for Disruptive Women in Healthcare and has authored the award-winning menopause/midlife blog Flashfree since 2006.

In addition to her extensive experience as a strategist, Liz has worked as a journalist, reporter, medical education writer, copywriter, blogger and editor, and maintains active memberships in the National Association of Science Writers and the Association of Health Care Journalists.

Formerly from New York City, Liz is currently based outside Washington, DC.

I had the talk with my son

Charmaine Ruddock

Charmaine Ruddock

This post is written by Senior Fellow, Charmaine Ruddock MS. She directs Bronx Health REACH, a coalition of 50 community and faith-based organizations, funded by the Centers for Disease Control’s REACH 2010 Initiative to address racial and ethnic health disparities.

Last night, I finally had the talk with my 19 year old son.  I had to tell him that as a young black man his life isn’t worth much to the people who should protect him and to a system that should hold the people accountable if they hurt or killed him.  No mother or father should ever have to have that talk with their son. The son they have raised to be an honorable man, an ambitious man, a generous and thoughtful man. But I had to. And I listened to many callers on the radio station who had to do the same with their sons. I listened to one of the most successful radio and TV personalities and best-selling authors today tell his radio listeners that they must realize that they are not invited to this party, called the United States of America. He told them that they must recognize that the line of the Constitution that speaks of ‘justice and liberty for all’ does not pertain to them. He said he has been a black man for 57 years and that’s what he knows for sure—and that’s what he has to teach his three sons.

I had the talk with my son. I told him if he gets stopped by the police when he is driving he must wind down all the windows, and if it is at night, turn on the roof light, then put his hands, fingers splayed at the very top of the steering wheel. When he is asked for his driver’s license and registration, he should indicate by the turning of his head where it is and then ask the policeman’s permission to go and get it. It was advice I had heard one of the call-in radio listeners tell of the drill practice he does with his college son.

I had the talk with my son.  And I felt dirty.  I had told this young man whom I have taught—it seems as soon as he came out my womb—about being honorable and what manhood means, to ignore all  that I had taught him because, as I told him, I want him to grow old.

So, yes, I had the talk with my son. And it felt like I had emasculated him and desecrated my spirit.

                                                                                                        written by Charmaine Ruddock

Choosing Wisely: Policy or Professional and Patient Responsibility?

choosing Wisely

My latest blog post on JAMA News Forum is on the Choosing Wisely initiative that was started by the ABIM (American Board of Internal Medicine) Foundation. The initiative identifies unnecessary and sometimes harmful and costly tests and procedures that should be eliminated or seldom done. The aim is to have physicians and patients use the lists (developed by various professional societies) to have conversations about testing and treating that can reduce unnecessary care. My JAMA blog discusses whether we need policy changes to be able to move more quickly on incorporating these discussions into care, whether through penalizing their use or incentivizing the crucial conversations about what care is necessary and safe and what care is not.

As of October, the initiative now includes the first-five list of nursing-identified unnecessary care, through work being led by the American Academy of Nursing (disclosure: I’m the Academy’s president). That list includes:

“1. Don’t automatically initiate continuous electronic fetal heart rate monitoring during labor for women without risk factors; consider intermittent auscultation first.

2. Don’t let older adults lay in bed or only get up to a chair during their hospital stay.

3. Don’t use physician restraints with an older hospitalized patient.

4. Don’t wake the patient for routine care unless the patient’s condition or care specifically requires it.

5. Don’t place or maintain a urinary catheter in a patient unless there is a specific indication to do so.”

I hope that all health care professionals and organizations will share the Choosing Wisely work with colleagues, health care organizations, and the public.

Diana J. Mason, PhD, RN, FAAN, Rudin Professor of Nursing

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